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NPI Code Detail

MEDICARE: MS. NANCY UN TENG CHAN P.T.

MEDICARE: MS. NANCY UN TENG CHAN P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist0249111NY

General Provider Information

NPI Number : 1437223112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY UN TENG CHAN P.T.
Provider Business Mailing Address
First Line : 22 ORCHARD ST
Second Line : APT. 5
City : NEW YORK
State : NY
Zip : 10002-6109
Country : US
Telephone Number : 212-966-2797
Fax Number :
Provider Business Practice Location Address
First Line : 7608 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2510
Country : US
Telephone Number : 718-259-0090
Fax Number : 718-232-5048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

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